IndividualActive
John Purvis
NPI 1619389095 · Pharmacotherapy Pharmacist · Fort Wayne, IN
Provider details
- NPI number
- 1619389095
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26015107A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
6309 Lima Rd
Fort Wayne, IN 46818-1425
Phone: (260) 497-1010
Fax: (260) 497-1065
Approximate (ZIP-level) locationGet directions
Mailing address
1227 Park Ave
New Haven, IN 46774-1619
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2014-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.